Examples of Common CPD Activities By Levels
The three levels of CPD activities
CPD activities are classified as either a Level One, Level Two
or Level Three activity.
The three levels reflect a hierarchy of CPD activities based on
the ability of the activity to effect change in practitioner behaviour
and patient outcomes which is the ultimate aim and purpose behind
undertaking CPD.
Level One
Level Two
Level Three
Summary
Level One
What are Level One activities?
Level One activities are considered to be those activities that
provide the participant with information to improve their practice.
The level of demand on the participant is considered to be releatively
low.
Generally, these learning activities tend to focus on increasing
knowledge and skills and include the more traditional, passive activities
such as lectures, conferences, journal reading and grand rounds.
Examples of Level One activities
- Local, national, international meetings, symposia, workshops:
attendance, presentation, chairing
- Hospital grand rounds
- Self-assessment tests
- Journal clubs
- Individual reading: journals, texts
- College / professional association / hospital involvement
eg committee membership
- Grant application reviews
- Literature searches
- Expert witness / medico-legal activities
- Computer-based learning
- Overseas aid trips / pro-bono work
- Morbidity / mortality meetings
- Clinico-pathology meetings

Level Two
What are Level Two activities?
Level Two activities are those where there is a higher demand on
the participant. Generally it is expected that involvement in these
activities will ensure the participant can demonstrate maintenance
of best practice standards and / or can demonstrate that they have
implemented a particular activity or facilitated changes in practice
and health outcomes. Key factors are collection of data related
to a particular question / issue.
Level Two activities include things such as preparation for and
taking part in a practice review or clinical audit, critical incident
monitoring, trying a new approach or technique, participative workshops,
quality control studies and patient satisfaction surveys.
Examples of Level Two activities
- Critical incident monitoring
- Criteria auditing
- Practice review
- Simulator / skill centre sessions involving implementation of
learning
- Primary clinical research
- Patient/family, carer satisfaction studies
- Retrospective peer review of cases
- Quality control studies
- Development of clinical practice guidelines
- Benchmarking studies arising from clinical indicators
- College / professional association / hospital examiner
- Trainee supervision
- Mentoring
- Teaching – where new materials & interaction with
learners is provided
- Presentations to community groups
- Writing and publishing – peer reviewed
- Video / audio tapes: production and use
- Data collection, collation and analysis
- Patient satisfaction surveys
- Referring doctor’s satisfaction surveys
- Formal postgraduate courses (Masters, Ph.D)
- Participative workshops

Level Three
What are Level Three activities?
Level Three activities are those that have the highest demand on
the participant. Generally, these would involve change and evaluation
activities where the practitioner evaluates the impact of an activity
or intervention, perhaps resulting from involvement in a Level Two
activity. An adjustment is made to address a problem or an issue
and the effect measured.
Level Three activities include things such as trying out a new
approach or technique and evaluating the outcomes; peer reviews
and audits - implementation of recommendations and evaluation of
the improvements made; completion of a quality cycle where an action
plan has been developed, implemented and evaluated.
In a Level Three activity it is important that an intervention
or adjustment is made to address a problem and the effect of the
change is measured.
Examples of Level Three activities
- Collaborative outcome projects
- Clinical trial participation; practice is developed, adherence
to best practice guidelines and evaluation of outcomes
- Completion of a quality cycle where an action plan has been
developed, implemented and evaluated
- Peer reviews and audits - implementation of practice visit recommendations
and evaluation

Summary
The three levels of CPD activities
| Level One |
Focus on knowledge, skills
Increasing knowledge and skills through activities involving
participation |
| Level Two |
Change-facilitating activities
Facilitate and implement change in practice and health outcomes
or demonstration of best practice standards. Key factors are
collection of data related to a particular question/issue
or the ability to demonstrate an improvement in practice outcomes
resulting from increased knowledge or skill |
| Level Three |
Change-evaluating activities
Implementation and evaluation of an activity or intervention,
perhaps resulting from involvement in Level 2 activities.
Key factor is the demonstration that the effect(s) of selected
intervention(s) has been measured or evaluated. |

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